Table 3.

Summaries of themes, subthemes, and perspectives, cross-sectional online survey performed in 2021 among HCPs in a large secondary care hospital (N=1645)

Themes	Subthemes	Perspectives
Concerned about the patient	Breaking the alliance	Do not want to unnecessarily restrict, offend, or stress the patient, as one does not have a proper relationship with the patient or believes it affects the established relationship or the agenda set by the patient.
	Taking away coping strategy	Smoking is perceived as a factor in quality of life, a tool for de-escalation, or a coping strategy.
	Patient’s autonomy	The perception that patients should decide for themselves and that many do not want to cooperate on the matter.
‘Not part of my job’	Others’ responsibility	Think SCS is a responsibility of others, or believe that SCS is too time-consuming for their role.
	Lack of knowledge	Ask for more training and internal guidelines.
Inappropriate setting	Work context	As SCS disturbs the agenda, more critical problems must be prioritized first. The surgery and emergency departments are perceived as inappropriate places to initiate SCS. Short contacts leave no option for follow-up, and time is lacking in this work setting.
	Organizational context	Workflow does not encourage SCS, nor does management prioritize it.
	The medical condition of the patient	If patients are severely or acutely affected, it is difficult to address smoking cessation. Concerns that SCS does not change the prognosis of specific diseases or that patients are too affected to integrate it.